Horrified grimace right away showing stress (5)
I believe the answer is:
ictus
'stress' is the definition.
(I've seen this in another clue)
I can't explain the rest of the clue.
Can you help me to learn more?
(Other definitions for ictus that I've seen before include "recurrence of disease results" , ""fit"" , "Is cut (anag.)" , "Metrical stress" , "Sudden attack" .)